<fieldset class="layui-elem-field">
    <legend>直系亲属信息</legend><!--# if(!has(look)){  --><input type="checkbox" class="validCheckBox" title="检查"><!--# } -->
    <div class="layui-row">
        <div class="layui-form-item">
            <div class="layui-inline">
                <label class="layui-form-label">姓名<span style="color: red">*</span></label>
                <div class="layui-input-inline">
                    <input type="text" id="relativesName" name="relativesName" lay-verify="required" value="${greenTreatment.relativesName}" readonly class="layui-input input-readonly" readonly="true" >
                </div>
            </div>
            <div class="layui-inline">
                <label class="layui-form-label">性别<span style="color: red">*</span></label>
                <div class="layui-input-inline">
                    <layui:simpleDictSelect style='layui-input-inline' type="gender" readonly="true"
                                            id="relativesSex" name="relativesSex" value="${greenTreatment.relativesSex}"
                                            layVerify="required" lay-filter="relativesSex"/>
                </div>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-form-item">
            <div class="layui-inline">
                <label class="layui-form-label">工作单位<span style="color: red">*</span></label>
                <div class="layui-input-inline">
                    <input type="text" id="relativesWork" name="relativesWork" lay-verify="required" readonly value="${greenTreatment.relativesWork}" class="layui-input input-readonly" readonly="true" >
                </div>
            </div>
            <div class="layui-inline">
                <label class="layui-form-label">联系电话<span style="color: red">*</span></label>
                <div class="layui-input-inline">
                    <input type="text" id="relativesIphone" name="relativesIphone" lay-verify="required" readonly value="${greenTreatment.relativesIphone}" class="layui-input input-readonly" readonly="true" >
                </div>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-form-item">
            <div class="layui-inline">
                <label class="layui-form-label">国籍<span style="color: red">*</span></label>
                <div class="layui-input-inline">
                    <input type="text" id="relativesNationality" name="relativesNationality" lay-verify="required" readonly value="${greenTreatment.relativesNationality}" class="layui-input input-readonly" readonly="true" >
                </div>
            </div>
            <div class="layui-inline">
                <label class="layui-form-label">身份证号<span style="color: red">*</span></label>
                <div class="layui-input-inline">
                    <input type="text" id="relativesIdCard" name="relativesIdCard" lay-verify="required"  value="${greenTreatment.relativesIdCard}" readonly class="layui-input input-readonly" readonly="true" >
                </div>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-form-item">
            <div class="layui-inline">
                <label class="layui-form-label">特殊情况说明(最多100汉字)</label>
                <div class="layui-input-inline">
                    <textarea id="specialInstructions" name="specialInstructions"   class="layui-textarea input-readonly" style="width: 740px" maxlength="200" readonly="true" >${greenTreatment.specialInstructions}</textarea>
                </div>
            </div>
        </div>
    </div>
</fieldset>

    <input type="hidden"  name="userId" value="${greenTreatment.userId}">
    <input type="hidden"  name="companyId" value="${greenTreatment.companyId}">
    <input type="hidden"  name="businessState" value="${greenTreatment.businessState}">
    <input type="hidden"  name="businessStateCode" value="${greenTreatment.businessStateCode}" >
    <input type="hidden"  name="processUserName" value="${greenTreatment.processUserName}">
    <input type="hidden"  name="processUserId" value="${greenTreatment.processUserId}">
    <input type="hidden"  name="processResult" value="${greenTreatment.processResult}">
    <input type="hidden"  name="year" value="${greenTreatment.year}" >
    <input type="hidden" name="roleName" value=${greenTreatment.roleName}>
    <!-- 业务对象须有hidden字段，保存delFlag和version字段-->
    <input type="hidden" name="delFlag" value=${greenTreatment.delFlag} />
    <input type="hidden" name="id" value=${greenTreatment.id} />
